F01.52
BillableVascular dementia, unspecified severity, with psychotic disturbance
HCC Category Mapping
V28HCC 127 — Dementia, Mild or Unspecified
0.464RxHCCHCC 112 — Dementia and Other Specified Brain Disorders
0.000What This Code Means
Dementia caused by reduced blood flow to the brain, with psychotic symptoms such as delusions or hallucinations.
Coding Tips
- •Psychotic disturbance in dementia includes hallucinations, delusions, or other psychotic features
- •Ensure documentation distinguishes between primary psychotic disorder and psychotic symptoms secondary to dementia
Clinical Significance
Vascular dementia with psychotic disturbance indicates the presence of hallucinations, delusions, or paranoia in the context of cerebrovascular-caused cognitive decline. Psychotic symptoms in vascular dementia require careful pharmacologic management given the FDA black box warning on antipsychotics in dementia patients.
Documentation Requirements
- ✓Diagnosis of vascular dementia with cerebrovascular etiology
- ✓Specific psychotic symptoms documented (hallucinations — visual or auditory, delusions, paranoia)
- ✓Distinction from delirium-related psychosis (which is a separate condition)
- ✓Cognitive assessment results
- ✓Antipsychotic medication use with documented risk-benefit analysis
- ✓Safety assessment and monitoring plan
Commonly Confused Codes
F01.50 — Vascular dementia without behavioral disturbance: use when no psychotic features presentF01.511 — Vascular dementia with agitation: agitation without hallucinations/delusionsF01.53 — Vascular dementia with mood disturbance: depression or mood changes without psychosisF05 — Delirium due to known physiological condition: acute confusion, not chronic dementia-related psychosis
Code Hierarchy
└F01Vascular dementia└F01.5Vascular dementia, unspecified severity└F01.52Vascular dementia, unspecified severity, with psychotic disturbance
└F01.52Vascular dementia, unspecified severity, with psychotic disturbance